RCM Contract Support Specialist

Job not on LinkedIn

🕒 May 21

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

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Integrated Home Care Services, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Integrated Home Care Services, Inc. is an integrated home care benefits manager that coordinates and manages value-based home health services, durable medical equipment, and home infusion for patients and members on behalf of health plans and providers. It provides network development and credentialing, utilization management, claims adjudication, analytics, and a technology-enabled platform for referrals, real-time documentation, and 24/7 access to services, aiming to reduce costs, improve outcomes, and streamline administration for payers, providers, and patients.

📋 Description

• Lead and deliver projects related to the development of new business and insurance contracts • Manage enhancements, compliance, and system enhancements • Ensure ongoing activities are in line with policies and regulations • Collaborate with billing management to resolve claim issues • Monitor configuration-driven performance metrics

🎯 Requirements

• Ability to interpret insurance contract pricing tables • Capable of translating standard business requirements into functional requirements • Collaborate with system vendors, IT, and integration teams • Assess financial impact of configuration decisions and errors • Manage major system configuration projects • Monitor payer, regulatory, and coding updates • Perform quality review of completed configurations • Identify areas of improvement in existing work processes

🏖️ Benefits

• Medical • Vision • Dental • Short- and Long-term insurance • 6+ Days of Holidays Pay • 17 days of PTO • Employer paid life insurance • 401K with employer contribution • Wellness program with reward incentives • Employee recognition and reward programs • Comprehensive paid training program